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Physician Profile

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Matthew J. Bonanno, M.D.

Disclaimer
Physician Information
Except for the License information, this information has been reported by Dr. Bonanno.
License Number 277727
License Status Summary Suspension
License Issue Date 3/13/2019
Summary Suspension Date 8/27/2019
License Expiration Date 3/27/2020
Primary Work Setting
Business Address 1 Hollow Lane
Suite 100
Lake Success, NY 11042
United States of America
Business Telephone (516) 406-3643
Accepting New Patients No
Accepts Medicaid No
Translation Services Available None Reported
Insurance Plans Accepted None Reported
Hospital Affiliations None Reported
NPI Number 1679678338

Both The Joint Commission and the National Committee on Quality Assurance consider the Massachusetts Board of Registration in Medicine to be a primary source provider for license status information.

Education & Training
The Education and Training information was verified as of the License Issue Date above.
Medical School American University of The Caribbean School of Med
Graduation Date 12/27/1997
Post Graduate Training Lenox Hill Hospital, Intern:General Surgery (7/1/1998 - 6/30/1999)
Lenox Hill Hospital, Resident:General Surgery (7/1/1999 - 6/30/2001)
Wayne State University, Resident:Plastic Surgery (7/1/2001 - 12/31/2003)
Specialty
This information has been reported by Dr. Bonanno.
Area of Specialty Plastic Surgery
Board Certifications

Dr. Bonanno has reported no board certifications.
Honors and Awards

Dr. Bonanno has reported no awards.
Professional Publications

Dr. Bonanno has reported no publications.
Malpractice Information

Massachusetts Malpractice Claims

Dr. Bonanno has not made a payment on a malpractice claim in Massachusetts.

Out of State Malpractice Claims

The Board has no record of out of state malpractice claims regarding Dr. Bonanno.
Disciplinary and/or Massachusetts Criminal Actions

Massachusetts Criminal Convictions, Pleas and Admissions

The Board has no record of felony or serious misdemeanor convictions regarding Dr. Bonanno.

Health Care Facility Discipline

The Board has no record of health care facility discipline regarding Dr. Bonanno.

Massachusetts Board Discipline

This section includes final disciplinary actions taken by the Board.

Date 8/27/2019
Case # 2019-046
Action Summary Suspension

Out of State Board Discipline

This section includes discipline imposed by other state medical boards on physicians licensed in those states. It is important to note that some states may discipline physicians for reasons different from those in Massachusetts. For more information about another state’s discipline, contact that state’s medical board. You can find contact information for all state medical boards at the Federation of State Medical Boards website.

Date 8/22/2019
State New York
NY License Number 228731
Action Summary Suspension




Instructions for obtaining public information about a physician are available at our public information page. Questions about a physician's Profile may be submitted to ma.profiles@state.ma.us. You may also contact the Massachusetts Board of Registration in Medicine, 200 Harvard Mill Square, Suite 330, Wakefield, MA 01880. Phone (781) 876-8200 for public information about a physician or questions about a physician's Profile. Detailed information about Massachusetts Board disciplinary actions on physicians may be found at our Disciplinary and Other Board Action page.